Permit y CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2009 -00042
TIGARD DATE ISSUED: 2/2/2009
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S12600 -00300
SITE ADDRESS: 09508 SW WASHINGTON SQUARE RD J01 ZONING: MUC
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: CLEARWIRE
Project Description: Low voltage for security system. Job No. 83 23112 - 1
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: : HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER: SECURITY X
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
WASHINGTON SQUARE LLC ADT SECURITY SERVICES, INC
BY THE MACERICH COMPANY 2815 SW 153RD DR
9585 SW WASHINGTON SQUARE RD BEAVERTON, OR 97006
TIGARD, OR 97223
Phone: Contact #: PR] 503- 469 -7212
FAX 503- 469 -7114
FEES Reg #: ELE 26- 209CLE
LIC 59944
Description Date Amount SUP 389LEA
[ELPRMT] ELR Permit 2/2/2009 $75.00
[TAX] 12% State Surcha 2/2/2009 $9.00 REQUIRED ITEMS AND REPORTS
Total $84.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable
laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work
is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503.246.6699' 1.803 - • .
Issued B • I Permittee Signature: A AirOr �J
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: ' DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
V .
Jan 30 09 0144p Stephanie Pat - 503 -469 p 1
'IP Electrical Permit Appl s+_I CEIVED OFFICEUSEONLY
111 -
- C ' i of Tigard ,ter «1 1t q C 0
-- . 131 25 SW.Hall Blvd , Tigard, OR 9 JiN 3 0 2009 rlun kcview - - - --
Phone. 503.6394171 Fax 503.5'41{,1460 D Other Permlc
ins
T[G1tiRV action rte: 503 63h 4175 C ITY OF TIGARD J°ra ~-
P ',me: Dun! ItCxtiy /ley td See rage Z IOr
1,,,,,,,A. vvWW,ti(,:,�r�Qtl:e>V BUILDING DIVISION /7 — - // /0. ` Supplemental Information
Il _ _ TYPF OF WORD I _ FLAN REVIEW • U ! ew t'AnStructlOII •.' —• - -� Addition/alteration/replacement Mono elievs, all that apply (wbm,t 3 wit. 01 pions tv deans c ieckrtl kau' ;,
El Demolition El Other I ❑ Service or;cede:r400Janosormore ❑L3uildinl; over three •IvrI :<
— ... .. - T -- who ds� available l7ulr Cwtent Q Marta., .n d DUatyard,
CATEGORY OF CONSTRUCTION exceeds 10.000 craps J1150 volt% or CJ l• bui14ir ,,
— lees to grour.L yr escted 14,000 ❑ Cornmei - ei l -v;c n4rlcutmr
[] I- and 2- family dwelling [ C'ommcrcialiindustr al 0 Aecassofy building; autpN for all cobra iasiallai ons builds :TN
0 Multi - tardily pMa '.ter builder D Other: []1 ire pump 0 ire.l.tnatton
3013 Sl T k: INFORMATION AND Lp(,A'1'101�1 ❑>:nler aysk,n 1311a: seearuttly derived ,yeterr
❑ Addttior erw motor ❑ "A "E" "1 2" "I.3"
r fUt)111' ur nrt rc.
uGCU 1 v
Troll, r :c2F //a - I 1 Job site address. 9 _ 641 ki ilif/cr l�/U 1 ,• 1:
x
.....__ - - -, .- _.. _ . — • [I.tilx ar moo: rtsrdcraidl Midi ❑ kecreatioraI vduC le oaks
It) 11_ —V,�p a 9-7,7.---3 _......... _. — L_I Ilcallh.c�m L,al1nC1. ❑Supply 1111 td ix pin n11.1%Ch an
❑ lLvarciou% 4uaUpns. 601) -011., ,ouluoI
Suite /bidg /apt no : Project name. !tv/ 1 4i,t /2 - , c Service or reader 400 amps or room
FEE: SCHEDULE
t'ross street/directions 10 job site. I MEMIETEIMEN f -r. ' n.1 -
I Ness residential yn-gle- or rrtniti family ds•clling unit. --
{ Includes at tached gnra ,e.
Subdt�,s,t »t, Lot nu.: 1.0UU :.y 11 or less 145 15 J 4
-' --. -- . Ea, adtll500sq. R, or portion 33.40 I 1
T its. map /pato..t t no.: .,... -._. _.....
- _... _, _ Limited energy, ri ,idvnual 75 00
' ` O'SCRIP - 1'1ON 01' ti5`URK _ wlibabove.2 ll.__ 2
- %f C 'f.(/��i -f
binned enlx y uln- 1am11y -
- reslti ideal (with above «l 0 )
75,00
• Services or feeder.; InittallntiOn, alteration, and /or rclocatton
200 amiss or loss 1{0 ,
Q PRC)PD:RTY OWNER ❑ TENANT 201 ttttrtu to 4(O amps 105 85 .
Nome. - 401.1ntps to 6011 amps 160 60 1 • 2
-- - - - -, 601 amps to 1,00(1 amps 240 00 T , •
Address: -- - --- - -- •- -° - -° - - ---
Over I,000 amps or volts 454(r,5
City/Stater /_1P ~ rrrniorirry services or feeders invUdlation, alteration, an d/or
-- -- -- -- , ._ ._" rclosnuon _ _
!'home ( ) Fox' ( ) 200 imps u)' less ' 6■.1{5
Owner installation: 'I'hl's In tdllution is being made on properly Mat f oven which s out 201 =rips to 401) ntnlx i 100 '1Q .' 2
intended fur sale, lease, rent, or exchange, according to ORS 447, 44?, 670, and 701 '101 dnq» to 599,nnp> i 133.75 ; 2
OW 11121' 'if r Pmranch circuits - new, alteration. or extension, per panel
- - - -- A. Fe'* for branch C; Irwts with
- � A PPLICANT ON C I PERSON ,rbOoe::Crviceor lcoukr foc,
..., ...-, - - - - -- I 0 GS 2
each branch circuit { F
Bu NJ mass name: 8. Fe our branch c frcutts�
_ as'u /lour service or l'cxder fcc, I
Cvnlncl na,ne: 7 t6 y, I 2
�/tJ_,
/ 1 � d �' - - - - - -- -- -- - -•- -- Gist branch circuit
Address '7 Lec_h ,tdd't branch circuit d.o5 --
--- ' - --- -•- -• - - -- I� Miscellanuou,c�ervicoor feeder riot include(1)
C1ty/State/ZI /1: Lich manufactured or modular
90 90 2
- - _. __ _ - ....._ ..., -' clwdlirtp, sevsiec ,tad /or waxier
oho.: 3 ), / G� 70/ Fax: t' ) ` r -- -- --- - - - --
e <.. - - - - - -- It tc onna t only 5G SS .. - -.
f -moil _ Pump or Imgutlon circle 51 rto
(:ONTRACTUIL_ _ ^' -Y_`, _...___ in or outlineIiihtine ,- 5340 ' —
Business name' AU'( SECURITY Signal circult(s) or limite --
energy panel. alteration. Or
/ldclr4ti <: 21115 $W 153 OR cxtensorf. Dc'crthc',
I 1 t'ito,c 2 . 7 1"/ 00 2
City /SLIte.7,IP: BEA VERTON OR 97006 Each additional inspection over allowable in_ any of the above
Per Inspextton - 62 50 I
Phone. (503) 469 -721: - . .•. Fax: (503) 469.7114 __ Invaanyat; /IL I hou (1 fn aeon) 62 SO
CCB Lie. 59944 J Electrical Lie 262O`)1 Lt Suprv, Lie.. 1,F,,A389 In.tostial plant pCrhour 73 75 I -
-" ELECTRICAL L'l Rb111 14_ES
Suprv. Eieeli1Cian Si4;uaturc, required Subtotal' 75 00 _
Print name' KI.N KRAI , -- - Dare. - - Mao rev lew(25 %of permit fie'):
� ,. - - - — -- - - -- - - - - Slaw ;,orch,lrr: (12% of per fee): ') 00
AulhUriitxl }rt'118 �=-
{ut " - - -
_ rn, G u� / ` �✓p Cr, I TU' fAL PLKMIT 1'Fl 34 00 Pone Warne. Dar - nu, /walk oppllratipn rtpNree If a gentlif is nu? Obtumed nithln TI C
_ -- _ -- _- - __ - -- --'- I dugs otter it hoc hero oereptret ,o Co.nplCTC,
t Nalrrherol Irspeutmm per rermrt
I Ii.'kl,rgl•1'nvn ls.1 I t- t'nn,IA1p 110 rr %•;1,146 IA1..141: i111 U5.( OM'WI 11
CZ C //(' -,
CITY OF TIGARD
BVILDING DIVISION
- A' PERMIT #: FLR2009-00042
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/2/2009
Phone: (503) 639-4171 A-41111
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2/25/2009 TIME: 7:00AM PAGE: 22
SITE ADDRESS: 09508 SW WASHINGTON SQUARE RD J01 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: CLFARVV1RE
DESCRIPTION: Low voltage tor s) b No. 83-23112-1
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ADT SECURITY SERVICES, INC PHONE #: 503-469-7212
•
Inspection Request Scheduled For: Date: 2/25/2009 . Pour Time:
Code # Inspection Description nfirrn Contact # Message
135 Low voltage 080812-01 503-572-24168 N
iCsigi F41■141-..-
Corrections/Comments/ Instructions:
'PASS 0 PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
FAIL 0 CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: Cr , 1.)n LE ---- Date: 2-10V1 Phone #: (503) 718- 1
.. r ..
CITY OF TIGARD
. .
BVILDING DIVISION PERMIT #: ELR2009.00012
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 200009
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2/4/2009 TIME: 7:00AM PAGE: 26
SITE ADDRESS: 09508 SW WASHINGTON SQUARE RD J01 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: CLEARWRE
DESCRIPTION: 1.pw volt*ge tor security system. Job No. 83-23112-1
OWNER: WASHINGTON SQUARE I..LC, PHONE #:
CONTRACTOR: ADT SECURITY SERVICES, INC PHONE #: 503-469-7212
Inspection Request Scheduled For: Date: 214/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 000217-01 503-572-2468
Corrections/Comments/Instructions:
P RgtO b Q't.A\mr)
0 PARTIAL APPROVAL 111 CANCEL 0 NO ACCESS
n FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: a N OA L Date: 2_ - Phone #: (503) 718- VWC